RENAL TREATMENT CENTERS CALIFORNIA INC (NPI# 1932127800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932127800 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS CALIFORNIA INC |
| Other Organization Name | RED BLUFF DIALYSIS |
| Practice Address |
2455 Sister Mary Columba Dr Red Bluff CA 96080-4364 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 5305270052 |
| Practice Fax Number | 5305270059 |
| Mailing Telephone | 6153416765 |
| Mailing Fax Number | 8337829089 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
550000181 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1932127800 | 05 |
| Other Name | Type Code |
|---|---|
| Red Bluff Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275661506 | Renal Treatment Centers California Inc | Clinic/Center | 14400 Olympic Dr, Clearlake, CA 95422-8809 | 2007-02-28 |
| 1528168291 | Renal Treatment Centers California Inc | Clinic/Center | 33487 Yucaipa Blvd, Yucaipa, CA 92399-2064 | 2006-09-23 |
| 1215032404 | Renal Treatment Centers California Inc | Clinic/Center | 1075 E Pacific Coast Hwy, Long Beach, CA 90806-5089 | 2006-09-13 |
| 1750486148 | Renal Treatment Centers California Inc | Clinic/Center | 2020 Santa Monica Blvd Ste 100, Santa Monica, CA 90404-2139 | 2006-09-13 |
| 1487609384 | Renal Treatment Centers California Inc | Clinic/Center | 15736 Woodruff Ave, Bellflower, CA 90706-4018 | 2006-05-23 |
| 1245293356 | Renal Treatment Centers California Inc | Clinic/Center | 2345 Forest Ave, Chico, CA 95928-7641 | 2006-04-10 |
| 1366405342 | Renal Treatment Centers California Inc | Clinic/Center | 941 Merchant St, Vacaville, CA 95688-5315 | 2006-04-10 |
| 1689637795 | Renal Treatment Centers California Inc | Clinic/Center | 1820 E Deere Ave, Santa Ana, CA 92705-5721 | 2006-04-10 |
| 1407819485 | Renal Treatment Centers California Inc | Clinic/Center | 26900 Cactus Ave, Moreno Valley, CA 92555-3912 | 2006-04-10 |
| 1295798338 | Renal Treatment Centers California Inc | Clinic/Center | 312 S Fairmont Ave, Ste A, Lodi, CA 95240-3840 | 2006-04-10 |
| Street Address |
2455 SISTER MARY COLUMBA DR |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.